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CAR-T细胞治疗不良事件图谱
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《柳叶刀》子刊:金浩杰团队绘制CAR-T细胞治疗与患者预后相关的不良事件图谱
生物世界· 2025-11-06 12:00
Core Insights - The article discusses a significant study on CAR-T cell therapy, highlighting its potential for long-lasting remission in cancer patients while also addressing the associated adverse events that can impact patient outcomes [2][3]. Group 1: Adverse Events and Patient Outcomes - The study reveals a series of adverse events related to CAR-T cell therapy that are closely linked to patient outcomes, particularly emphasizing the high mortality rate associated with cardiac events, which necessitates monitoring of cardiac function during treatment [3]. - High reports of adverse events related to infections and respiratory issues underline the importance of preventing and controlling infectious diseases during CAR-T therapy [4]. - Cytokine release syndrome and other immune and neurological adverse events are generally associated with a lower mortality rate, suggesting that these events may indicate the effectiveness of CAR-T cell therapy [4]. Group 2: Prognostic Implications of Adverse Events - The research team analyzed the prognostic significance of adverse events across different clinical subgroups, finding that neurotoxicity has opposing prognostic implications depending on the target of the CAR-T cells; for CD19-targeted therapy, neurotoxicity indicates better prognosis, while for BCMA-targeted therapy, it correlates with higher mortality risk [4]. - The study innovatively created a map of adverse events with prognostic significance in CAR-T cell therapy, providing valuable data for safety monitoring and offering new insights for improving treatment outcomes and patient prognosis [4]. Group 3: Research Collaboration and Funding - The study was co-authored by researchers from Shanghai Jiao Tong University School of Medicine, Wenzhou Medical University, and Renji Hospital, indicating a collaborative effort in advancing CAR-T cell therapy research [5]. - The research received funding from the National Natural Science Foundation and the Shanghai Science and Technology Commission, highlighting institutional support for this important work [5].